Rhinolithiasis: A very late complication after dacryocystorhinostomy with rubber-gum and polyethylene stenting

To describe a rare case of rhinolith formation 21 years after dacryocystorhinostomy (DCR) with rubber gum and polyethylene tubing surgery. Interventional case report. A 23-year-old-woman underwent uneventful left DCR with rubber gum and polyethylene tubing for chronic dacryocystitis. Twenty-one year...

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Bibliographic Details
Published in:American journal of ophthalmology 2004-12, Vol.138 (6), p.1065-1067
Main Authors: Levy, Jaime, Monos, Tova, Puterman, Moshe
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Chronic Disease
Dacryocystitis - surgery
Dacryocystorhinostomy
Female
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Humans
Intubation
Lithiasis - diagnostic imaging
Lithiasis - etiology
Lithiasis - surgery
Medical sciences
Paranasal Sinus Diseases - diagnostic imaging
Paranasal Sinus Diseases - etiology
Paranasal Sinus Diseases - surgery
Polyethylene
Postoperative Complications
Rubber
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Tomography, X-Ray Computed
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Summary:To describe a rare case of rhinolith formation 21 years after dacryocystorhinostomy (DCR) with rubber gum and polyethylene tubing surgery. Interventional case report. A 23-year-old-woman underwent uneventful left DCR with rubber gum and polyethylene tubing for chronic dacryocystitis. Twenty-one years later, she presented with purulent rhinorrhea, nasal obstruction, and facial pain. Computed tomography revealed a radiopaque density in the left nasal cavity. A rubber gum foreign body embedded with granulation tissue and a huge rhinolith was removed endoscopically through the anterior nares. After surgery, the patient reported immediate and complete relief of symptoms. Rhinoliths can develop progressively several years after DCR as a result of foreign body reaction to rubber gum or polyethylene tubing. This rare complication should be ruled out in patients complaining of purulent rhinorrhea who underwent DCR with tubing before the early 1980s.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2004.06.060